People are talking about XIFIN and our Health Economics Optimization Platform. Take a look at some of the recent coverage we’ve received across the media sphere. Please contact us if you would like to learn more.
March 2, 2017
As PAMA Reporting Deadline Looms, Labs Brace for Medicare Rate Cuts.
January 11, 2017
I’ve always been into technology, which is probably why I have enjoyed the healthcare information technology market so much, especially now as technology is pushing into the clinical and administrative sides of the market at a blistering pace. These technologies are causing radiology groups to...
Nation's Most Vulnerable Clinical Laboratories Fear Financial Failure If Medicare Officials Cut Part B Lab Fees Using PAMA Market Price Data Final RuleJanuary 9, 2017
In an interview with The Dark Report, XIFIN Inc. of San Diego, a revenue cycle management company for clinical labs, stated that the data being collected and sent to CMS by most labs will be rife with errors and omissions. Those errors and omissions mean CMS will make decisions based on...
Coming PAMA Price Cuts to Medicare Clinical Lab Fees Expected to Be Heavy Financial Blow to Hospital Laboratory Outreach ProgramsDecember 12, 2016
All hospital labs need to understand the negative financial impact to their labs and have a plan to absorb the fee cuts and remain clinically and financially viable. If you believe some experts, in just 13 months many of the nation’s hospital medical laboratory outreach programs will experience...
December 7, 2016
In its work with more than 200 lab clients, XIFIN, Inc., of San Diego, sees the best and worst of problems in how labs submit claims to lab tests and how payers process these claims. In this exclusive interview, Lâle White, XIFIN’s Founder and CEO, identifies the systemic sources of problems in...
November 17, 2016
IN JUST EIGHT WEEKS, certain clinical labs will begin reporting their PAMA lab test market price data to CMS. Those reports will set off a series of events that could trigger the single most financially-disruptive event to hit the clinical laboratory industry in the past three decades.
November 9, 2016
XIFIN LIS Anywhere from XIFIN, San Diego, leverages the company’s health economics optimization platform to facilitate the open but secure exchange of diagnostic, financial, and clinical information.
October 26, 2016
Most routine clinical lab tests are likely to see their Medicare Part B rates reduced by 5% to 10% when CMS resets lab test prices based on private-payer rates (effective January 1, 2018).
October 17, 2016
The medical device industry is facing a number of revenue-related pressures impacting growth and profitability due largely to healthcare reform issues, changes in purchasing and supply chain management, and billing and reimbursement issues.
September 28, 2016
Experience has shown that breakthroughs in the diagnostic sector of healthcare can heavily influence patient wellness and patient care plans. Today, we are experiencing these breakthroughs more quickly and with greater impact than ever before.
September 7, 2016
In an uncertain reimbursement climate, some device manufacturers are considering new ways of billing to ensure revenue and profitability.
August 26, 2016
We sat down with three contributing lab leaders, Lester Wold, Lâle White, and Philip Chen, as they shared their experiences of how they partnered with oncology to reduce costs and improve care. These are three examples of LabacoEconomics in action—and all three stories illuminate steps you...
July 19, 2016
On June 17, CMS released the Final Rule for resetting reimbursement rates for lab tests paid through the clinical laboratory fee schedule (CLFS) as set forth under the Patient Access to Medicare Act (PAMA).
July 18, 2016
In the middle of June, the Centers for Medicare and Medicaid Services (CMS) issued its final rule implementing section 216(a) of the Protecting Access to Medicare Act of 2014 (PAMA), and requiring laboratories that perform clinical diagnostic laboratory tests to report the amounts paid by...
July 15, 2016
Lab Information Systems may need to contract in size, yet expand in reach.
July 13, 2016
Labs face audits, automatic pay reductions for failing to collect deductibles from patients
By Joseph Burns
CEO SUMMARY: Health insurers appear to have stepped up their efforts to warn clinical laboratories not to waive patients’ fees in return for...
April 28, 2016
Laboratories continue to face numerous and unrelenting challenges driven by government and regulatory forces that leave many wondering how or if to move forward....
April 27, 2016
UnitedHealthcare announced requirement for genetic test pre-authorization later this year
By Joseph Burns
CEO SUMMARY: Managed care experts say health insurers are being overwhelmed by the number of new genetic tests and that many labs find it...
April 1, 2016
Enhancing the patient experience through a patient-centered approach to care is a growing priority for healthcare organizations. Progressive labs are able to expand their role in support of patient-centered care through developing evidence-based testing algorithms, implementing clinical decision...
March 25, 2016
Health systems, social workers and advocacy groups are using connected care platforms to collaborate, giving front-line clinicians expert help in diagnosing children’s cases.
March 10, 2016
Unnecessary testing is one of the highest cost components in healthcare and a frequent area of third-party payer scrutiny. Educating referral sources can have a significant impact on reducing denials and improving the bottom line.
March 10, 2016
The clinical laboratory community has long recognized the need to provide payors and policymakers with a clear understanding of the value of diagnostic testing. But that task has proven to be more difficult than those outside the community could ever imagine, and experts acknowledge that the...
Labs in the Information Age: LIS and LIMS are contributing value for a growing number of clinical lab operationsMarch 10, 2016
Over the past decade, as an increasing number and variety of IT systems have demonstrated their value to payors, providers, and patients alike, the barriers to IT adoption have gradually begun to fall. Today, with initiatives and opportunities ranging from electronic health records (EHRs) to big...
February 11, 2016
CLP’s annual LIS Tech Guide
December 21, 2015
XIFIN Inc, San Diego, has reached an agreement with QualityStar, Omaha, Neb, to market its cloud-based case review service to help reduce interpretive...
December 1, 2015
More and more, labs swim against a rising tide of commoditization—becoming mere cost centers judged by the price of their tests. This “penny wise and pound foolish” mindset devalues the...
November 3, 2015
It is a time of exciting developments in laboratory medicine. Advances in genomics and molecular diagnostics continue to improve our understanding of diseases and effective therapies, while innovations in Big Data and information technology are helping to advance genetic science and personalized...
October 20, 2015
We’ve seen our share of large non-healthcare corporations move into the healthcare space, including the radiology market, over the years.
September 17, 2015
Two major specialties serve all of health care as the foundation for diagnosis. Now efforts to align pathology and radiology again appear to be picking up steam.
September 15, 2015
FDA defines a "companion diagnostic" as a medical device—often an in vitro diagnostic device—that provides information essential for the safe and effective use of a corresponding drug or biological product. Such tests help determine whether the patient benefits of a...
September 10, 2015
The advantages of collaborative medicine have been widely recognized, especially with the shift toward value-based pricing. In fact, studies show that when healthcare providers like pathologists, radiologists, and oncologists collaborate on cases, diagnoses can change as much as 25 percent1 of...
July 27, 2015
The systems and information infrastructure needed to support value-based healthcare is undergoing a major evolution as the industry shifts to new business models that...
June 30, 2015
Earlier this year vRad and San Diego-based XIFIN (pronounced zy-fin) began closely collaborating on an online workflow that will offer referring physicians a one-stop fusion of all diagnostic reports—from radiology, pathology and clinical labs.
June 2, 2015
Pathology and radiology have traditionally operated as separate diagnostic departments, without any interface between their workflows or reporting systems.
April 4, 2015
A discussion of some of the business opportunities that a network like ProNet makes available for surgical pathologists.
April 3, 2015
While pathology and radiology workflows have traditionally been independent of one another, a new partnership between telemedicine company vRad, Eden Prairie, Minn, and financial solutions provider Xifin Inc, San Diego, Calif, is seeking to bring them together.
April 2, 2015
Bruce Friedman discusses the XIFIN-vRad integrated diagnostics announcement, and the potential value it poses for diagnostic departments in hospitals. Among other things, Friedman points out, "I would be remiss unless I emphasized the major payoff from the pursuit of integrated diagnostics...
March 26, 2015
XIFIN LIS is an integrated suite of products, including LIS, revenue cycle management, and business intelligence. It is a cost-effective, Web-based software-as-a-service (SaaS) solution; no major hardware or software purchases or upgrade fees. It includes a pathologist dashboard, technical...
March 26, 2015
From tracking charges in anatomic pathology and maintaining documentation to the changing classifications of some cancers, representatives of five companies tell CAP TODAY what their AP systems offer and what they’re working on to help labs.
February 17, 2015
CLP’s February 2015 Tech Guides feature side-by-side comparisons of laboratory information systems and middleware products from vendors such as Beckman...
January 26, 2015
This year will bring a host of regulatory, coding, billing, and payment changes that are going to challenge pathologists and laboratory administrators to move quickly or else face declining revenue and the grim specter of Medicare recovery audits.
October 23, 2014
Having been in healthcare information technology for almost 20 years I have seen my fair share of changes in both the administrative and clinical sides of healthcare, which have impacted radiology both positively and negatively.
October 7, 2014
SyTrue, Inc., a healthcare information services provider and developer of proprietary technologies used to translate unstructured medical data into useable clinical information, announced today it has entered into a multi-year agreement with XIFIN Inc., a leading provider of financial and...
- October 1, 2014
Already central to providing the diagnostic information that helps determine patient treatment, pathologists now play a more pivotal role than ever in clinical decision support, thanks to healthcare reform initiatives focused on providing cost-effective, value-based care.
Medicare Payment Scheme for MDxHealth's Prostate Cancer Test Provides Model for Conditional CoverageSeptember 24, 2014
Read about Medicare Payment Scheme for MDxHealth's Prostate Cancer Test Provides Model for Conditional Coverage
- September 17, 2014
As precision medicine continues to evolve in cancer care, the development of highly sophisticated tests that leverage the explosion of knowledge about the molecular and protein characteristics of an individual patient’s tumor has emerged as its own scientific frontier. - See more at: http...
- September 4, 2014
The demand to control healthcare costs has resulted in regulatory and policy changes that significantly reduce laboratory reimbursement, threatening profits and the very survival of some clinical laboratories and pathology groups.
- August 6, 2014
The healthcare industry's transition toward patient-centered care and value-based payment drives innovation in care models and reimbursement methodologies that align stakeholder incentives and foster greater accountability to improve quality and cost outcomes.
- August 1, 2014
John Vallone, director of informatics and digital pathology at USC Keck Medical Center, discusses how happy USC is with XIFIN LIS Anywhere (formerly known as PathCentral).
- July 22, 2014
Dr. Greg Henderson discusses cloud computing and his decision to move to cloud-based AP information system XIFIN LIS Anywhere (formerly PathCentral). "My group and I have never looked back in the 6 years since we made our professional home in the cloud. In fact, at meetings when I hear...
IDology Partners with XIFIN to Help Laboratories meet CLIA Compliance and Provide Patients Secure Access to Lab ResultsJuly 8, 2014
ATLANTA, Jul 08, 2014 (GLOBE NEWSWIRE) -- IDology, Inc., a leading provider of identity verification and anti-fraud tools, has been selected by XIFIN, Inc., a leading provider of financial and health economic optimization...
- June 3, 2014 In a bill originally focused on forestalling a steep drop in physician payment, Congress has laid out plans for a completely different approach to paying for laboratory testing that will lead to sweeping changes in laboratory medicine for decades.
- May 22, 2014
XIFIN CMO Bill Taylor contributed to this Cap Today article features billing, accounts receivable and revenue cycle management vendors sharing how they are helping their clients.
- May 22, 2014
Annual product guide for BIlling/AR/RCM systems
- May 15, 2014For several years, the future of cancer care has revolved around “personalized medicine.” This process leverages all that can be learned about a patient’s tumor from genetic or protein characteristics, and treats the cancer with a therapy or cocktail that matches the tumor...
- May 12, 2014
Technology hybrids fuse two or more technologies into a single, new form of technology that fundamentally changes how tasks are performed. These hybrid billing systems are a meansof ensuring that radiologists earn a seat at the table rather than a place on the menu.
- May 5, 2014
For laboratorians, passage of the Protecting Access to Medicare Act of 2014 was more than merely lawmaking as usual, as it marked the first time in 30 years that Congress also passed diagnostics payment reform measures.
- April 28, 2014
Rina Wolf is featured in this April 28 article on payment rates for ADTs and their potential impact. Read the full article here.
- March 8, 2014
Call it the “Huh?” heard ’round the world: Just last month, Google spent $3.2 billion to acquire Nest Labs, a manufacturer of thermostats and smoke and carbon monoxide detectors.
- February 12, 2014
Professional pathology networks are taking Pathology to new levels. Pathology networks provide pathologists around the globe an opportunity to practice and collaborate beyond their physical microscopes and offices.
- February 11, 2014
Kyle Fetter, vice president of integrated care initiations with XIFIN, discusses with Health Finance News four areas hospitals need to watch in order to control the costs related to billing.
- January 13, 2014
While the Coverage with Evidence Determination (CED) provides an effective coverage determination process for many new devices and treatments, it fails to capitalize on the opportunities in the molecular diagnostics (MDx) market, and does not adequately account for the unique challenges of...
- November 15, 2013
Over the summer, as Capitol Hill began its spiral toward a government shutdown, Medicare regulators starred in a drama of their own set in the lab community...
How Does Your Revenue Cycle Measure Up? Why Radiology Practices Are Turning to Configurable Cloud-Based Billing PlatformsSeptember 24, 2013
It is estimated that radiology practices lose as much as eight to to 10 percent of their income due to billing and claims processing errors. Radiologists in particular are more susceptible to reimbursement delays, providing complex and costly diagnostic procedures that are subject to increased...
- September 24, 2013
It is an eat-or-be-eaten world out there as radiology practices search for the winning formula of services, systems, and practices to survive in a volatile marketplace.
- September 24, 2013
XIFIN Inc., a cloud-based revenue cycle management company for laboratories, said its recent buyout of Irvine-based PathCentral Inc. will help doctors in Los Angeles and elsewhere make better treatment decisions.
- July 1, 2013
On October 1, 2014, the ICD-9 code sets used to report medical diagnoses and inpatient procedures will be replaced by ICD-10 code sets. The transition to ICD-10 is required for all entities covered by the Health Insurance Portability and Accountability Act (HIPAA).
- June 21, 2013
The Coalition to Strengthen the Future of Molecular Diagnostics (CSFMD), of which XIFIN is a member, announces its formation and goals in a press release.
Recent Plummet in Medicare Pricing for Molecular Diagnostic Testing Draws Diverse Stakeholders to Form...
Failure to Pay for New Molecular CPT Codes Creates Money Crisis for Clinical Laboratories and Pathology GroupsJune 17, 2013
In this feature article by The Dark Report, XIFIN AVP Kyle Fetter comments on the impact of Medicare contractors' policies of reduced or non-payment for molecular diagnostics in 2013.
- May 30, 2013
SAN DIEGO, May 29, 2013 – The annual list of San Diego’s Fastest Growing Private Companies has been announced. The San Diego Business Journal is in its 10th year of producing this prestigious listing. From travel and high tech to marketing and...
- May 20, 2013
CAP Today’s annual Billing/accounts receivable/RCM systems comparison guide is now available.
- May 16, 2013
Productivity, collection, analytics, and ACOs are what CAP TODAY asked six marketers and users of lab billing software about in interviews in recent weeks. Here is what they told us.
- May 10, 2013
For 2013, CMS used the gapfilling methodology to establish payment rates for the approximately 114 new Molecular Pathology CPT codes as well as 1 additional test code that fell into another category. The gapfilling process requires the Medicare Administrative Contractors (MACs) to set payment...
- May 7, 2013
Submitted by Lâle White, CEO of XIFIN, Inc., of Carlsbad, California, this letter to the editor of The Dark Report describes the problems caused by the Medicare program's failure, as of January 1, 2013, to be ready to process and reimburse lab test claims for more than 100 new...
- May 3, 2013
Amid much confusion over the Place of Service (POS) rule change instituted by the Centers for Medicare & Medicaid Services (CMS), a panel of experts provided guidance in a February webinar, "Navigating the Place of Service Rule Change and the Potential Ramifications for Radiology....
- April 1, 2013
The U.S. medical community, providers, and payors alike, have heavily lobbied to delay the implementation of ICD-10.
- March 14, 2013
Administrative Simplification Requires Interoperability, New Financial Management Platforms
- February 18, 2013
XIFIN VP of radiology market development David Byrd contributes to discussion on why cloud computing prompts healthcare efficiency, cost reductions and improved patient
- February 11, 2013
Many of the recently issued reimbursement rates for molecular diagnostic tests are inadequate and in fact are lower than the cost of running the tests, lab experts say. Smaller laboratories that specialize in developing and selling molecular tests could be forced to close. As many as 20 or more...
- February 7, 2013
Although the new MolDX pricing from Palmetto had been billed as a coding exercise and not a repricing exercise, evidence suggests otherwise.
- February 7, 2013
G2 Intelligence National Intelligence Report Bulletin Article mentions Rina Wolf and XIFIN "advising clients who are affected by this pricing to submit their concerns, along with supporting documentation as to their costs and any potential impact on access to these tests, to Palmetto....
- January 22, 2013
In addition to a steep cut in the 88305 CPT code, anatomic pathology laboratories can expect cuts in the payment from Medicare for molecular and prostate biopsy...
- January 8, 2013
ICD-9 code sets are set to be supplanted by ICD-10 code sets. Although the new code’s name sounds about as incremental as an update can get, ICD-10 codes actually have a completely different structure than ICD-9 codes.
- January 7, 2013
Molecular testing has become an economic powerhouse for the lab industry and contributes a wealth of valuable information to patient care. But even as researchers and labs look for the latest breakthroughs, the government and other payers are still trying to make up their minds about what these...
- November 6, 2012
Radiology services historically have been a profitable, diagnostic foundation of the healthcare delivery system. But as imaging volume and costs have skyrocketed, healthcare purchasers seeking to reduce healthcare spending have increasingly challenged the necessity and cost of imaging services...
- October 25, 2012
Lale White tells G2 that MolDx program could go national
- October 23, 2012
The promise of a value-based healthcare system is founded on adopting payment systems that reward the value of care provided per dollar spent.
- October 15, 2012
The fastest growing segment of the laboratory market is molecular diagnostics. The rapid growth of molecular diagnostics as a segment of the industry has created a fairly complex reimbursement and regulatory landscape.
- October 5, 2012
In today’s challenging economic climate, medical specialists – including those in diagnostic fields like community pathology and radiology-- increasingly find themselves working overtime to maintain even basic fiscal fitness.
- September 27, 2012
In an era of quality improvement and cost reduction mandates, cloud-based billing and revenue cycle management (RCM) systems neatly provide a way to both improve operational efficiency and financial performance and meet the onslaught of information sharing mandates. By Lale White.
- August 27, 2012
Billing/accounts receivable/RCM systems
- August 22, 2012
The right billing and coding system can help a laboratory increase collections, compliance, and capabilities…."A billing system has the highest level of connectivity requirements of any software package that a laboratory uses and has to be integrated with just about everything,...
- July 16, 2012
This new policy from the Blue Cross and Blue Shield Association (BCBSA) becomes effective on October 14, 2012. No longer can a local lab provide service to a member under the BlueCard program and be paid by the local plan in the region where the service was provided. Some regional BCBS plans...
- July 15, 2012
The lab industry is facing a great deal of fiscal uncertainty. The Centers for Medicare and Medicaid Services is poised to slash the laboratory fee schedule. The HIPAA 5010 electronic transaction standards are in transition. New molecular diagnostic test coding and reimbursement present...
- May 15, 2012
FACED WITH THE FACT that many payers were not ready to implement the 5010 standard under the Health Insurance Portability and Affordability Act (HIPAA), on March 15, the federal Centers for Medicare & Medicaid Services (CMS) announced a second delay in enforcement of the standard.
- April 24, 2012
By Bill Malone Providers Stung by Transition to HIPAA 5010 Standards Ready for a Reprieve
- February 22, 2012
Economic pressures, legislative mandates, and technological advancements are driving significant changes in the diagnostic services segment, while reimbursement for lab testing and diagnostic services continues to shrink.
- February 10, 2012
HIPAA 5010 became the mandated electronic transaction standard regulating the transmission of billing claims data as of Jan. 1. The business impact of the 5010 transition is significant for laboratories, potentially resulting in increased costs, processing delays, and lost or late revenue if...
- November 7, 2011
In February, Palmetto intends to cease accepting code-stacked molecular test claims.
- October 7, 2011
How will it impact the delivery of personalized medicine?
- September 29, 2011
With the Jan. 1, 2012 deadline for transition to the new HIPAA 5010 standard for electronic claims transactions fast approaching, radiology practices should waste no time ensuring that all the development has been completed, and that testing (necessary to avoid billing disruptions, claims...
- September 1, 2011
Featuring XIFIN VP Rina Wolf, this in-depth article discusses the upcoming coding changes and a number of big decisions that lie on the horizon, many of which could lead to lower reimbursement.
- August 1, 2011
Laboratory stakeholders are in the midst of a perfect storm of healthcare legislation, technology innovation, and government regulation, ranging from the ICD-10 transition to comparative effectiveness research (CER) to exciting advancements in molecular diagnostic testing. CEO Lâle White...
- June 5, 2011
Even as healthcare providers push toward a new era of electronic health records (EHRs) and information exchange, the very language used to document diseases and conditions in these records is about to shift dramatically.
- May 30, 2011
Clarient CEO Ronnie Andrews discusses his decision to go with XIFIN, and the spectacular results they’ve had since, in this CAP Today article on taking client billing to the next level. It’s not an official motto of laboratories that are profiting from their choice of revenue cycle...
- May 17, 2011
Stricter enforcement and new laws mean compliance is key to succeeding and surviving for labs.
- March 30, 2011
The sweeping changes of the 2013 mandated HIPAA 5010 and ICD-10 conversions come at a time when healthcare providers face intense competition for dwindling financial resources. Every facet and nearly every core system of healthcare will be affected as the industry moves from 13,600 diagnosis...
- November 11, 2010
The modern molecular diagnostics (MDx) laboratory is big business. It is not uncommon for a single molecular test to be reimbursed at $3,000 or more. Yet today’s laboratory industry continues to be caught in a complex web of overly complicated reimbursement, declining profitability,...
- November 9, 2010
The Medicare Administrative Contractor (MAC)for California recently proposed a program that laboratories worry could make it more difficult to get Medicare to pay for molecular diagnostics, according to a California laboratory representative, including possibly requiring clinical trials for...
Earn Top Billing in Radiology: Improve your accounts receivable management by evaluating these key areasSeptember 7, 2010
Health care is a highly complex and regulated industry, and today’s radiology managers face numerous challenges in maintaining their fiscal fitness due to the growing complexity of the reimbursement system, their patients’ inability to remit copayments or deductibles, reductions in...
- August 19, 2010
With the advancement in diagnostics tests, the test volumes ordered by physicians for their patients are massive. Both molecular and genetic tests number above 40 million within the United States, and in a couple of years that volume is expected to double.
- June 25, 2010
As a result of provider feedback, UnitedHealthcare will implement a system enhancement that will consolidate more commercial claims into one payment and will improve the layout of the Provider Remittance Advice (PRA). This enhancement impacts all claims associated with UnitedHealthcare...
- June 1, 2010
Storm front approaching. Medical labs today are facing tempestuous times. First are the increasing volumes due to an aging population as well as healthcare reform adding an additional 35 million patients who require diagnostic testing. Second is the pressure being put on reimbursements in an...
- June 1, 2010
XIFIN Vice President Rina Wolf discusses strategies for ensuring commercialization and reimbursement success when developing new molecular diagnostic tests.
- May 26, 2010
Bruce Friedman writes about a Dark Report article, New Genetic Laboratory Tests Face Complicated Hurdles to Win Reimbursement, that extensively quotes XIFIN executive Rina Wolf....
- May 1, 2010
The CAP Today May issue features XIFIN CEO Lale White in a story on the critical role revenue cycle management systems play in healthcare reform.Source: CAP Today - May 2010
- April 13, 2010
XIFIN CEO Lale White discusses the importance of timely and accurate financial data, which is so is essential to understanding the true performance of business operations.
- October 1, 2009
XIFIN’s CEO Lale White is interviewed for this feature article on how revenue cycle management tools contribute to more collected revenue.XIFIN is a healthcare information technology company that leverages diagnostic information to improve the quality and economics of healthcare. Our health economics optimization platform is a connected health solution that facilitates connectivity and workflow automation for accessing and sharing clinical and financial diagnostic data, linking healthcare stakeholders in the delivery and reimbursement of care.
- October 1, 2014